New Patient Paperwork

ReConnect Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Insurance and payments

We accept most insurance and offer affordable cash options. During your first visit, we call to verify your insurance benefits and let you know before any treatment is given. If you have any questions regarding insurance benefits, please contact us.

Participating Insurance Providers:

  • Aetna
  • Avera
  • Blue Cross Blue Shield
  • Cigna
  • Coventry Healthcare
  • Great West
  • Medicare and Medicaid
  • Midlands Choice
  • Sanford

OFFICE HOURS


Monday
9:00am - 1:00pm
3:00pm - 6:00pm


Tuesday
9:00am - 1:00pm
3:00pm - 6:00pm


Wednesday
9:00am - 1:00pm
3:00pm - 6:00pm


Thursday
9:00am - 1:00pm
3:00pm - 6:00pm


Friday
9:00am - 11:00am


Saturday
Closed

ReConnect Chiropractic
607 Pinnacle Drive Suite A
Papillion, NE 68046
(402) 592-2234